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05-5118 (SFD)P.0:'BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALI"FORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDP.ERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/21/05 Application Number: (�05-00005118 Owner: Property Address: 52135—SHINING STAR LN LENNAR HOMES - APN: 767-200-999-10 -312022- 40004 COOK STREET Application description: DWELLING -.SINGLE FAMILY DETACHED ®� PALM DESERT, CA 92211 Property Zoning: LOW DENSITY RESIDENTIAL :�Fi' (760) 601-3100 Application valuation: 173670 Contractor: Applicant:c jtect or Engineer: �� LENNAR HOMES OF CALIFORNIA INC 40004 COOK ST. PALM DESERT, CA 92211 (951)817-3600 LiC. No.: 728102 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000)ofDivision 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided - License, lass: S - License No.: 728102 for by Section 3700 of the Labor Code, for the performance of the work.for which this permit is issued. " D � C ractor: J -have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ' - Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier AON RISK SRVC Policy Number' MWC11148500 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to ' _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any. construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file.a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State ' and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C de, I shall forth ith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars 0500).:. Applicant: (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and , the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The W RNI G: FAILURE TO SECURE WO K S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, S BJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND J and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or ' improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person -upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason ' the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City ff' d I f I ted t thework b n Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: 'LQPERMIT of La Quanta, its o kers, agents an emp ogees or any act or omissieon re a o o ei g performed under or. following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and unty ordinances and state laws relating to building construction, and hereby authorize representatives offtthis c my to ter upon the above-mentioned prope y r spection purp ses. Bate: 1 nature (Applicant or Agent): \ LQPERMrr Application Number . . . . 05-00005118 Permit . . . .BUILDING PERMIT Additional desc . Permit Fee 898.50 Plan Check Fee 146.01 Issue Date Valuation . . 173670 Expiration Date 5/20/06 Qty Unit Charge Per Extension BASE FEE 639.50 74.00 -----------`--------- 3.5000 ------ THOU BLDG ------------ 100,001-500,000 -------------------------- 259.00 ------------ Permit MECHANICAL Additional desc .' Permit Fee 95.00 Plan Check Fee 5:94 " Issue Date . . . . Valuation . . . 0 Expiration Date 5/20/06 J Qty Unit Charge Per Extension -BASE FEE 15-00 3.00 9.0000 EA. MECH FURNACE <=100K 27.00 '3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 3.00 6.5000 EA MECH VENT FAN 19.50. 1.00 6.5000 ----------------------------------------------------- EA MECH EXHAUST HOOD 6.50 ^Permit .. . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 124.53 Plan Check Fee 7.78 Issue Date Valuation . . . . 0 ;. Expiration Date'. 5/20/06 4 Qty Unit Charge Per Extension BASE FEE 15.00 2742.00 ..0350 ELEC NEW RES - 1 OR 2'FAMILY 95.97 678.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.56 Permit PLUMBING Additional desc . Permit Fee . . . 161.25 Plan Check Fee 10.08 Issue Date Valuation 0 Expiration Date _. 5/20/06 Qty Unit. Charge Per Extension BASE FEE- 15.00 15.00 6.0000 EA PLB FIXTURE 90.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMrr Application Number 05-00005118 Permit` PLUMBING Qty Unit Charge .Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 15.0000 EA PLB GAS METER 15.00 Permit . . . GRADING-PERMIT Additional desc . Permit Fee 15:00 Plan'Check Fee..' .00 Issue Date .'. Valuation 0 Expiration Date 5/20/06 Qty Unit Charge Per.- Extension BASE FEE 15.00 ----------------- Special Notes and Comments SFD - 2742 SF. LOT 10, PLAN 1B/3, CAR GARAGE 678 SF.PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH..75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES.-RES 20.00 "DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER = RES 366.00 ENERGY REVIEW FEE 58.40 DIF FIRE PROTECTION-RES 97.00 GRADING PLAN CHECK.FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC -.RES 5:00 DIF PARKS/REC - RES 502.00 . STRONG MOTION (SMI) - RES 17.36 DIF STREET MAINT FAC-'RES 15.00 DI'F TRANSPORTATION - RES 1098.00. _. Fee summary Charged. Paid Credited --- -- Due -----------------• Permit'Fee Total 1294.28 00. 00 1294.28 Plan Check Total 169.81 .00 00 169.81 Other Fee Total. 2500.76 .00 .00 2500.76 Grand Total 3964.85 .00. .00 3964.85 " LQPERMIT